Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob S Cooper, DPT

Individual provider Physical Therapist · NPI 1104238948

Jacob S Cooper, DPT is a Physical Therapist in Private Practice in Ogden, Utah. Qualified in 2014, 12 years ago. Practices with Ogden Clinic PC, a 106-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4700 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3870
Fax: (801) 475-3876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7241132-2401 (UT)

Record details

NPI number1104238948
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 28, 2014
Last updated in NPPESJanuary 18, 2017
Mailing addressPo Box 5546, Denver, CO 80217-5546

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ogden Clinic Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ogden